BPH NCLEX LATEST COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS SURE A+
✔✔A patient with benign prostatic hyperplasia (BPH) with mild obstruction tells the
nurse, "My symptoms have gotten a lot worse this week." Which response by the nurse
is most appropriate?
a. "The prostate gland normally changes slightly in size from day to day, and this may
be making your symptoms worse."
b. "Have you been taking any over-the-counter (OTC) medications recently?"
c. "Have you talked to the doctor about surgical procedures such as transurethral
resection of the prostate?"
d. "I will talk to the doctor about ordering a prostate specific antigen test." - ✔✔B
✔✔When obtaining a focused health history for a patient with possible testicular cancer,
the nurse will ask the patient about any history of
a. testicular torsion.
b. STD infection.
c. undescended testicles.
d. testicular trauma. - ✔✔C
✔✔When planning teaching for a patient who has had a unilateral orchiectomy and
chemotherapy for testicular cancer, the nurse will include information about the need for
, a. regular follow-up appointments to detect other types of malignancies.
b. aspiration of sperm from the remaining testis if infertility occurs.
c. testosterone supplements to help maintain erectile function.
d. application of ice to the scrotum to minimize pain and swelling. - ✔✔A
✔✔A patient with acute urinary retention associated with BPH is admitted to the
emergency department. The patient has had no urine output for 16 hours, and the
laboratory work shows a blood urea nitrogen (BUN) level of 50 mg/dl and a creatinine of
3.0 mg/dl. The nurse will anticipate a health care provider order tO
a. schedule the patient for inpatient hemodialysis.
b. insert a retention catheter.
c. start an IV line for fluid administration.
d. administer furosemide (Lasix). - ✔✔B
✔✔ To determine the severity of the symptoms for a patient with benign prostatic
hyperplasia (BPH), the nurse will ask the patient about
a. the presence of blood in the urine.
b. any erectile dysfunction (ED).
c. occurrence of a weak urinary stream.
d. lower back and hip pain. - ✔✔C
✔✔A patient scheduled for a transurethral resection of the prostate (TURP) for BPH
tells the nurse that he has delayed having surgery because he is afraid it will affect his
sexual function. When responding to his concern, the nurse explains that
a. with this type of surgery, erectile problems are rare, but retrograde ejaculation may
occur.
b. information about penile implants used for ED is available if he is interested.
c. there are many methods of sexual expression that can be alternatives to sexual
intercourse.
d. sterility will not be a problem after surgery because sperm production will not be
affected. - ✔✔A
✔✔A 41-year-old man asks the nurse what he can do to decrease the risk of BPH. The
nurse explains that
a. riding a bicycle raises prostate specific antigen levels and may increase BPH risk.
b. prevention is not possible because prostatic enlargement occurs with normal aging.
c. decreasing butter and margarine and increasing fruits in the diet may help.
d. taking a daily vitamin E supplement has reduced prostate size in some men. - ✔✔C
QUESTIONS AND ANSWERS SURE A+
✔✔A patient with benign prostatic hyperplasia (BPH) with mild obstruction tells the
nurse, "My symptoms have gotten a lot worse this week." Which response by the nurse
is most appropriate?
a. "The prostate gland normally changes slightly in size from day to day, and this may
be making your symptoms worse."
b. "Have you been taking any over-the-counter (OTC) medications recently?"
c. "Have you talked to the doctor about surgical procedures such as transurethral
resection of the prostate?"
d. "I will talk to the doctor about ordering a prostate specific antigen test." - ✔✔B
✔✔When obtaining a focused health history for a patient with possible testicular cancer,
the nurse will ask the patient about any history of
a. testicular torsion.
b. STD infection.
c. undescended testicles.
d. testicular trauma. - ✔✔C
✔✔When planning teaching for a patient who has had a unilateral orchiectomy and
chemotherapy for testicular cancer, the nurse will include information about the need for
, a. regular follow-up appointments to detect other types of malignancies.
b. aspiration of sperm from the remaining testis if infertility occurs.
c. testosterone supplements to help maintain erectile function.
d. application of ice to the scrotum to minimize pain and swelling. - ✔✔A
✔✔A patient with acute urinary retention associated with BPH is admitted to the
emergency department. The patient has had no urine output for 16 hours, and the
laboratory work shows a blood urea nitrogen (BUN) level of 50 mg/dl and a creatinine of
3.0 mg/dl. The nurse will anticipate a health care provider order tO
a. schedule the patient for inpatient hemodialysis.
b. insert a retention catheter.
c. start an IV line for fluid administration.
d. administer furosemide (Lasix). - ✔✔B
✔✔ To determine the severity of the symptoms for a patient with benign prostatic
hyperplasia (BPH), the nurse will ask the patient about
a. the presence of blood in the urine.
b. any erectile dysfunction (ED).
c. occurrence of a weak urinary stream.
d. lower back and hip pain. - ✔✔C
✔✔A patient scheduled for a transurethral resection of the prostate (TURP) for BPH
tells the nurse that he has delayed having surgery because he is afraid it will affect his
sexual function. When responding to his concern, the nurse explains that
a. with this type of surgery, erectile problems are rare, but retrograde ejaculation may
occur.
b. information about penile implants used for ED is available if he is interested.
c. there are many methods of sexual expression that can be alternatives to sexual
intercourse.
d. sterility will not be a problem after surgery because sperm production will not be
affected. - ✔✔A
✔✔A 41-year-old man asks the nurse what he can do to decrease the risk of BPH. The
nurse explains that
a. riding a bicycle raises prostate specific antigen levels and may increase BPH risk.
b. prevention is not possible because prostatic enlargement occurs with normal aging.
c. decreasing butter and margarine and increasing fruits in the diet may help.
d. taking a daily vitamin E supplement has reduced prostate size in some men. - ✔✔C
